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Veteran Cultural Competence Training: Initial Effectiveness and National-Level Implementation.

Joseph C Geraci1, Emily R Edwards1, David May1

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Psychiatric Services (Washington, D.C.)
|August 9, 2023
PubMed
Summary

Veteran Cultural Competence Training (VCCT) significantly boosts service professionals' self-efficacy in understanding veterans. This training improves cultural competence, potentially enhancing veteran services across diverse settings.

Keywords:
Competence trainingContinuing educationCultural competenceMilitary veteransVeteran cultural self-efficacyVeterans’ issues

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Area of Science:

  • Social Work
  • Psychology
  • Military and Veteran Studies

Background:

  • Service professionals often lack cultural competence when working with veterans.
  • Veterans frequently perceive professionals as lacking understanding.
  • There is a need for targeted training to address this gap.

Purpose of the Study:

  • To develop, evaluate, and implement Veteran Cultural Competence Training (VCCT).
  • To enhance awareness, knowledge, and skills of professionals working with veterans.
  • To improve the quality of services provided to the veteran population.

Main Methods:

  • Study 1: Type 1 effectiveness-implementation hybrid trial comparing VCCT with a control group using the MCSE-V.
  • Study 2: Type 2 effectiveness-implementation hybrid trial using the RE-AIM framework with an expanded population (N=312).
  • In-person training combining educational and experiential components.

Main Results:

  • VCCT significantly increased trainees' self-efficacy in veteran cultural competence (p<0.001).
  • Effectiveness was maintained across professions and settings.
  • Implementation facilitation and coalition building were key for fidelity and maintenance.
  • Significant expansion of VCCT post-implementation was observed.

Conclusions:

  • VCCT is an effective intervention for increasing cultural competence in working with veterans.
  • The training's positive effects were consistent across various demographics and locations.
  • Improved professional competence can lead to better veteran services.